UNIVERSITY PLACE, INC
Assisted Living Facility
West Lafayette, Indiana
Provider NPI: 1831196369
Organization Information:Organization Name: UNIVERSITY PLACE, INC
Practice Location:
1750 LINDBERG RD WEST LAFAYETTE, IN 47906 US
Tel: 765-464-5600 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1750 LINDBERG RD WEST LAFAYETTE, IN 47906 US
Tel: 765-464-5600 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | IN | 050036731 |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | IN | 080036731 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
200450890A | IN | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin